Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Canoga Park › NPI 1376291674
Supplier

Blue Lotus Healthcare Holding Corp

Blue Lotus Healthcare Holding Corp was paid $32K by Medicaid between Sep 2022 and Jun 2024, across 9 billing codes. Its largest line is A4239, Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 36% of everything it billed.

33Billing provider infoBLUE LOTUS HEALTHCARE HOLDING CORP
CANOGA PARK, CA 91303
33aNPI1376291674assigned 03/15/2022
28Total paid$32K
24GClaims1,191
24DCodes billed9
24AFirst – last monthSep 2022 – Jun 2024
Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in California

Rank by total paid#70 of 112
Median peer was paid$87K
This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202285$6K
2023106$4K
2024incomplete1,000$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 36% 173 162 $11K
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 20% 85 79 $6K
L1820 Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 15% 361 188 $5K
L2387 Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint 8.7% 268 140 $3K
L3761 Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf 8.1% 77 77 $3K
L1971 Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment 6.5% 111 61 $2K
L0627 Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 3.9% 83 83 $1K
E2103 Non-adjunctive, non-implanted continuous glucose monitor or receiver 1.7% 17 16 $530.82
L0180 Cervical, multiple post collar, occipital/mandibular supports, adjustable <1% 16 16 $22.96

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialAMIN NAZAR, MANDANA (CEO)
Same official

Other billing entities under AMIN NAZAR, MANDANA

Full network →
ProviderLocationPaid
Sagamore RX INC.Canoga Park, CA$3K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.